Student perceptions of electronic health record use in simulation

Jansen, Debra A.

doi:10.5430/jnep.v4n9p163

Cited by 10 publications

(7 citation statements)

References 20 publications

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“…18,[27][28][29] To enhance students' nursing informatics competencies when students not only look up patients' information but also document assessment findings and nursing processes, AEMRs have been adopted as a more efficient way to obtain concrete, practical knowledge and skill. 2,13,15,33 Our findings demonstrated that participants regarded the AEMR writing function as the most important component of AEMRs, as students could actually document patients' data during their clinical practicum. Without this function, students felt that they were passive observers rather than active doers.…”

Section: Discussionmentioning

confidence: 89%

“…All suggested questions for the FGIs were based on a literature review of previous studies related to AEMRs. [12][13][14][15][16][17][18][19][20][21][22][27][28][29] Examples of the prompt questions that were used to guide the FGIs included the following: (1) how do EMRs facilitate or obstruct students' clinical practicum? (2) If AEMRs are to be developed, what are the functions to be included?…”

Section: Procedures and Data Collectionmentioning

confidence: 99%

“…11 The University of Tennessee developed and tested an AEMR called iCare version 1.0, which sought to provide EMR experience to students in a simulation laboratory. 12 Simulated EMR programs have also been developed at the University of Wisconsin-Eau Claire 13 and the University of Utah 2 for their nursing education programs, and students had opportunities to improve confidence in patient care and information management competencies. In Singapore, a preliminary study was conducted on the use of EMR in a nursing curriculum in a simulation laboratory, which was not Web-based but a downloadable package.…”

mentioning

confidence: 99%

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Assessment of the Need to Integrate Academic Electronic Medical Records Into the Undergraduate Clinical Practicum

Choi

Park

Lee

2016

CIN: Computers, Informatics, Nursing

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As healthcare systems demand that nurses be competent in using electronic medical records for patient care, the integration of electronic medical records into nursing curricula has become necessary. The purpose of this study was to explore how students, new nurses, clinical instructors, and faculty perceive the integration of academic electronic medical records into the undergraduate clinical practicum. From January to February 2014, four focus group interviews with 18 participants were conducted based on purposive sampling. Content analysis was used on the unabridged transcripts to extract themes and develop meaningful categories. Three major themes and eight subthemes were revealed from the focus group interviews. The major themes were "electronic medical record as a learning tool for clinical practicum," "essential functions of academic electronic medical records," and "expected outcomes of academic electronic medical record." Participants expected academic electronic medical records to enhance students' nursing informatics competencies. The findings of this study can inform the process of developing academic electronic medical records for clinical practicum, which will then augment students' informatics competencies.

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Section: Discussionmentioning

confidence: 89%

Section: Procedures and Data Collectionmentioning

confidence: 99%

mentioning

confidence: 99%

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Assessment of the Need to Integrate Academic Electronic Medical Records Into the Undergraduate Clinical Practicum

Choi

Park

Lee

2016

CIN: Computers, Informatics, Nursing

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“…Other researchers found that simulated EHRs help enhance students' skills in electronic documentation [24,41,42] and aid in the development of positive attitudes and perspectives about electronic records [43,44]. The integration of simulated EHRs also enhances students' confidence and self-efficacy in using electronic records [23,[44][45][46] and increases informatics knowledge and competency [16,40,47]. Despite these benefits, factors such as cost and faculty expertise continue to be major challenges in integrating simulated EHRs in nursing education [18,34,48,49].…”

Section: Introductionmentioning

confidence: 99%

Academic Electronic Health Records in Undergraduate Nursing Education: Mixed Methods Pilot Study

Kleib¹,

Jackman²,

Wisnesky³

et al. 2021

JMIR Nursing

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Background Teaching students about electronic health records presents challenges for most nursing programs, primarily because of the limited training opportunities within clinical practice settings. A simulated electronic health record is an experiential, learner-centered strategy that enables students to acquire and apply the informatics knowledge needed for working with electronic records in a safe learning environment before the students have encounters with real patients. Objective The aim of this study is to provide a preliminary evaluation of the Lippincott DocuCare simulated electronic health record and determine the feasibility issues associated with its implementation. Methods We used one-group pretest-posttest, surveys, and focus group interviews with students and instructors to pilot the DocuCare simulated electronic health record within an undergraduate nursing program in Western Canada. Volunteering students worked through 4 case scenarios during a 1-month pilot. Self-reported informatics knowledge and attitudes toward the electronic health record, accuracy of computerized documentation, satisfaction, and students’ and educators’ experiences were examined. Demographic and general information regarding informatics learning was also collected. Results Although 23 students participated in this study, only 13 completed surveys were included in the analysis. Almost two-thirds of the students indicated their overall understanding of nursing informatics as being fair or inadequate. The two-tailed paired samples t test used to evaluate the impact of DocuCare on students’ self-reported informatics knowledge and attitudes toward the electronic health record revealed a statistically significant difference in the mean score of knowledge before and after using DocuCare (before: mean 2.95, SD 0.58; after: mean 3.83, SD 0.39; t12=5.80, two-tailed; P<.001). There was no statistically significant difference in the mean scores of attitudes toward the electronic health record before and after using DocuCare (before: mean 3.75, SD 0.40; after: mean 3.70, SD 0.34; t12=0.39, two-tailed; P=.70). Students’ documentation scores varied from somewhat accurate to completely accurate; however, performance improved for the majority of students as they progressed from case scenarios 1 to 4. Both the faculty and students were highly satisfied with DocuCare and highly recommended its integration. Focus groups with 7 students and 3 educators revealed multiple themes. The participants shared suggestions regarding the DocuCare product customization and strategies for potential integration in undergraduate nursing programs. Conclusions This study demonstrated the feasibility and suitability of the DocuCare program as a tool to enhance students’ learning about informatics and computerized documentation in electronic health records. Recommendations will be made to academic leadership in undergraduate programs on the basis of this study. Furthermore, a controlled evaluation study will be conducted in the future.

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“…Along with physicians, nurses, and other healthcare providers, pharmacists utilize electronic medical records (EMRs) for tasks such as medication reconciliation, computerized physician order entry (CPOE), eprescribing, and clinical decision support, but it is only recently that EMR training has been incorporated into pharmacy curricula [1]. Many healthcare disciplines, including nursing and medicine, are incorporating curricular content on EMR use and web-based patient centered modules to ensure trainees have adequate exposure to core medical content [2][3][4][5][6]. In the United States of America (USA), the Accreditation Council for Pharmacy Education (ACPE) recognizes professional communication and health informatics as two didactic content areas that are central to a contemporary, high-quality pharmacy education [7].…”

Section: Introductionmentioning

confidence: 99%

Pharmacy students’ perspectives on the initial implementation of a teaching electronic medical record: results from a mixed-methods assessment

et al. 2020

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Background: Electronic medical records (EMRs) have been used for nearly three decades. Pharmacists use EMRs on a daily basis, but EMRs have only recently been incorporated into pharmacy education. Some pharmacy programs have implemented teaching electronic medical records (tEMRs), but best practices for incorporating tEMRs into pharmacy education remain unknown. The objectives of this study were to 1) assess pharmacy students' views and experiences with a tEMR; and 2) identify current learning activities and future priorities for tEMR use in pharmacy education.Methods: We used a mixed-methods approach, including three, two-hour student focus groups and a 42-item web-based survey to examine student perspectives of the tEMR. All first, second, and third year professional pharmacy students were eligible to participate in the survey and a focus group. Web-based survey items were measured on a 7-point Likert scale, and quantitative analyses included descriptive statistics. Two researchers independently coded transcripts using both deductive and inductive approaches to identify emergent themes. These analysts met and resolved any coding discrepancies via consensus.Results: Focus groups were conducted with 22 total students, with 6-8 students represented from each year of pharmacy training. The survey was completed by 156 students: 47 first year, 55 second year, and 54 third year. Overall, 48.7% of survey respondents altogether agreed or strongly agreed that using the tEMR enhanced their learning in pharmacy classes and laboratories. Qualitative data were organized into four major themes regarding tEMR adoption: current priorities for use within the pharmacy curriculum; tEMR benefits; tEMR barriers; and future priorities for tEMR use to prepare students for pharmacy practice.

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Student perceptions of electronic health record use in simulation

Cited by 10 publications

References 20 publications

Assessment of the Need to Integrate Academic Electronic Medical Records Into the Undergraduate Clinical Practicum

Assessment of the Need to Integrate Academic Electronic Medical Records Into the Undergraduate Clinical Practicum

Academic Electronic Health Records in Undergraduate Nursing Education: Mixed Methods Pilot Study

Pharmacy students’ perspectives on the initial implementation of a teaching electronic medical record: results from a mixed-methods assessment

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